Job Description
The Technical Claims Specialist sits at the centre of quality and decision integrity, providing expert review and guidance on lump sum claims. The role ensures fair, consistent outcomes in line with TAL’s philosophy and regulatory standards, while elevating the customer and client experience through coaching, clarity of communication, and strong technical leadership.
- Act as a subject matter expert, responding to Claims Consultant requests and enquiries and to authorise and review claims (and associated benefits payments)
- Provide adverse decision review and sign off on assessment, which may require referral to internal Claims review body
- Coaching Claims Consultants in appropriately executing assessment practices ensuring the timely and quality management of claims. Including completing ‘above delegation’ and ‘within delegation’ reviews of individuals work and recording outcomes and opportunities for development
- Support...